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1 Selective serotonin reuptake inhibitors (SSRI) – sales, withdrawal ...

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1988 Medicines Control Agency, Committee on<br />

Safety of Medicines (1988).<br />

Benzodiazepines, dependence and<br />

<strong>withdrawal</strong> symptoms.<br />

Current problems in Pharmacovigilance, 21,<br />

1-2.<br />

1993 Circular about prescription of addictive<br />

drugs. Circular number 110 28/06/1993.<br />

Danish National Board of Health.<br />

in only a small proportion of<br />

benzodiazepine takers the<br />

number of patients involved<br />

may be substantial. The risks<br />

of dependence could be<br />

reduced by more trained<br />

prescribing of<br />

benzodiazepine.<br />

There has been concern for<br />

many years regarding<br />

benzodiazpine dependence<br />

(Br.Med.J,1980:280:910-12).<br />

Such dependence is<br />

becoming increasingly<br />

worrying.<br />

[Usage in Denmark is above<br />

the international average. It<br />

is not the intension with<br />

these guidelines to question<br />

current treatment. They are<br />

for short term treatment. For<br />

severe, disabling cases.]<br />

Article in the<br />

bulletin sent out<br />

from the MCA<br />

to doctors,<br />

pharmacists,<br />

dentists and<br />

coroners.<br />

Circular – a law<br />

text<br />

<strong>SSRI</strong>s<br />

Year Reference Citation Genre<br />

1993 Medicines Control Agency,<br />

Committee on Safety of Medicines<br />

(1993). Dystonia and <strong>withdrawal</strong><br />

symptoms with paroxetine (Seroxat).<br />

Current problems in pharmacovigilance 19, February.<br />

1996 Price J.S, Waller P.C., Wood S.M,<br />

Mackay A.V.P. A comparison of<br />

the post-marketing safety of four<br />

selective <strong>serotonin</strong> re-uptake <strong>inhibitors</strong><br />

including the investigation of symptoms<br />

occurring on <strong>withdrawal</strong>. British Journal<br />

Clinical Pharmacology. 1996;42:757-63.<br />

We have received<br />

78 reports of<br />

symptoms occurring<br />

on <strong>withdrawal</strong> of<br />

paroxetine,<br />

including dizziness,<br />

sweating, nausea,<br />

insomnia, tremor<br />

and confusion. Such<br />

reactions have been<br />

reported more often<br />

with paroxetine than<br />

with other <strong>SSRI</strong>s.<br />

It appears that the<br />

reports represent<br />

genuine <strong>withdrawal</strong><br />

reactions, but the<br />

low frequency of<br />

reporting per<br />

thousand<br />

prescriptions,<br />

together with the<br />

published<br />

Article in the<br />

bulletin sent out<br />

from the MCA<br />

to doctors,<br />

pharmacists,<br />

dentists and<br />

coroners<br />

Scientific paper

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